Tongue pressure during swallowing in adults with down syndrome and its relationship with palatal morphology.

Abstract:

:In individuals with Down syndrome, hypotonicity of the tongue and an underdeveloped maxilla may lead to poor oral motor coordination, which adversely affects the oral phase of swallowing. This study aimed to evaluate the characteristics of pressure produced by the tongue against the hard palate during swallowing in individuals with Down syndrome. In addition, the relationship between tongue pressure and palatal morphology was examined. We studied nine adults with Down syndrome and ten healthy adults as controls. Tongue pressure while swallowing 5 mL water was recorded by a sensor sheet system with five measuring points attached to the hard palate. Palatal length, depth, width, curvature, and slope were measured by three-dimensional digital maxillary imaging. The order of onset of tongue pressure on the median line of the hard palate was the same in all participants, except for three with Down syndrome. The duration and maximal magnitude of tongue pressure on the median line in nine participants with Down syndrome were significantly shorter and lower than those of controls. In participants with Down syndrome, significant positive correlations were observed between the duration of tongue pressure at the mid-median part of the hard palate and palatal depth and width, and between the duration and maximal magnitude of tongue pressure at the posterior-median part and palatal length. These findings suggest that impaired tongue activity, poor tongue control, and constrained tongue motion due to a short and narrow palate contribute to swallowing difficulty in individuals with Down syndrome.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Hashimoto M,Igari K,Hanawa S,Ito A,Takahashi A,Ishida N,Koyama S,Ono T,Sasaki K

doi

10.1007/s00455-014-9538-5

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

509-18

issue

4

eissn

0179-051X

issn

1432-0460

journal_volume

29

pub_type

杂志文章
  • Esophageal Function Tests are Not Associated with Barium Swallow Findings in Advanced Lung Disease.

    abstract::Gastroesophageal reflux disease and esophageal dysmotility are common in patients with advanced lung disease (ALD) and are associated with worse outcomes. Assessing esophageal function in these patients is relevant for determining pulmonary transplant eligibility and prognosticating post-transplant outcomes. Barium Sw...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10113-2

    authors: Posner S,Mehta K,Parish A,Niedzwiecki D,Gupta RT,Fisher DA,Leiman DA

    更新日期:2020-10-01 00:00:00

  • Prevalence of aspiration and laryngeal penetration in patients with unilateral vocal fold motion impairment.

    abstract::The adverse consequences of aspiration in regard to patient health and quality of life are well documented. It is generally accepted that the probability of aspiration is increased in patients with unilateral vocal fold motion impairment, however, the incidence and proposed mechanism of aspiration vary depending on th...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550000026

    authors: Heitmiller RF,Tseng E,Jones B

    更新日期:2000-10-01 00:00:00

  • Erratum to: The Influence of Food Texture and Liquid Consistency Modification on Swallowing Physiology and Function: A Systematic Review.

    abstract::Erratum to: Dysphagia DOI 10.1007/s00455-014-9578-x. In the original version of this article, Fig. 1 was published incorrectly. The corrected figure is given below. ...

    journal_title:Dysphagia

    pub_type: 已发布勘误

    doi:10.1007/s00455-015-9603-8

    authors: Steele CM,Alsanei WA,Ayanikalath S,Barbon CE,Chen J,Cichero JA,Coutts K,Dantas RO,Duivestein J,Giosa L,Hanson B,Lam P,Lecko C,Leigh C,Nagy A,Namasivayam AM,Nascimento WV,Odendaal I,Smith CH,Wang H

    更新日期:2015-04-01 00:00:00

  • Swallowing and respiratory distress in hospitalized patients with bronchiolitis.

    abstract::The aim of this study was to evaluate the risk of airway and/or pulmonary food or saliva aspiration in infants with moderate respiratory distress who are hospitalized with respiratory syncytial virus (RSV) bronchiolitis. This prospective, descriptive study was conducted during two epidemic RSV seasons at the Ricardo G...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9470-0

    authors: Maffey A,Moviglia T,Mirabello C,Blumenthal L,Gentile L,Niremberg M,Gilligan G,Teper A

    更新日期:2013-12-01 00:00:00

  • Number of Gastrointestinal Symptoms is a Useful Means of Identifying Patients with Cancer for Dysphagia.

    abstract::Dysphagia is a symptom suggestive of severe underlying pathology, although its causes include organic and non-organic disorders. The epidemiology of dysphagia is, however, poorly understood. We evaluated the prevalence of dysphagia in outpatients in Japan, measured the proportion ultimately found to have an organic ca...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9712-z

    authors: Tsukamoto M,Manabe N,Kamada T,Hirai T,Hata J,Haruma K,Inoue K

    更新日期:2016-08-01 00:00:00

  • High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver.

    abstract::Effortful swallow and the Mendelsohn maneuver are two common strategies to improve disordered swallowing. We used high-resolution manometry (HRM) to quantify the effects of these maneuvers on pressure and timing characteristics. Fourteen normal subjects swallowed multiple, 5-ml water boluses using three techniques: no...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-011-9385-6

    authors: Hoffman MR,Mielens JD,Ciucci MR,Jones CA,Jiang JJ,McCulloch TM

    更新日期:2012-09-01 00:00:00

  • Vocal Fold Paralysis/Paresis as a Marker for Poor Swallowing Outcomes After Thoracic Surgery Procedures.

    abstract::(1) To examine the association between vocal fold paresis/paralysis (VFP) and poor swallowing outcomes in a thoracic surgery cohort at the population level, and (2) to assess utilization of ENT/speech-language pathology intervention in these cases. The National Inpatient Sample (NIS) represents a 20% stratified sample...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-019-09987-8

    authors: Crowson MG,Tong BC,Lee HJ,Song Y,Misono S,Jones HN,Cohen S

    更新日期:2019-12-01 00:00:00

  • Dysphagia in dermatologic disease.

    abstract::Disorders of the oral cavity, pharynx, and esophagus may be found in some dermatologic diseases. The connective tissue diseases especially may be accompanied by dysphagia. Furthermore, some rare inflammatory and bullous dermatologic diseases can lead to esophageal disorders. Finally, some infectious and malignant dise...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF02266986

    authors: Bübl R,Schön B

    更新日期:1993-01-01 00:00:00

  • Dysphagia in patients with Chagas' disease.

    abstract::Some patients with Chagas' disease and apparent normal esophageal function complain of dysphagia. With the objective of investigating the esophageal motility of these patients we studied the esophageal contraction amplitude, duration, velocity, and lower esophageal sphincter (LES) pressure of 34 patients with a positi...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009549

    authors: Dantas RO

    更新日期:1998-01-01 00:00:00

  • Botulinum toxin treatment for cricopharyngeal dysfunction.

    abstract::Hypertonicity and spasticity of the cricopharyngeal muscle (CPM) often result in dysphagia characterized by difficulty passing a bolus through the upper esophageal sphincter. Past treatments for this problem have included mechanical dilation and endoscopic and transcervical cricopharyngeal myotomy. More recently, botu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-001-0074-8

    authors: Shaw GY,Searl JP

    更新日期:2001-07-01 00:00:00

  • Neuroplasticity and swallowing.

    abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-008-9193-9

    authors: Martin RE

    更新日期:2009-06-01 00:00:00

  • The Effect of the Cervical Orthosis on Swallowing Physiology and Cervical Spine Motion During Swallowing.

    abstract::Cervical orthosis is used to immobilize the neck in various disorders such as trauma and post-operation. However, it is still uncertain how cervical orthosis restricts the degree of movement of the cervical spine during swallowing and how they affect swallowing physiology. The purpose of this study was to evaluate the...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-015-9660-z

    authors: Mekata K,Takigawa T,Matsubayashi J,Toda K,Hasegawa Y,Ito Y

    更新日期:2016-02-01 00:00:00

  • A study of the early stage of Dysphagia in amyotrophic lateral sclerosis.

    abstract::In amyotrophic lateral sclerosis (ALS) patients, dysphagia eventually occurs independent of time of onset. We studied dysphagia conditions in the early stage of ALS, principally at the oral phase. Videofluoroscopic and manometric studies were conducted on 11 patients (5 males and 6 females, age range = 47-82 years) wh...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0074-3

    authors: Kawai S,Tsukuda M,Mochimatsu I,Enomoto H,Kagesato Y,Hirose H,Kuroiwa Y,Suzuki Y

    更新日期:2003-01-01 00:00:00

  • The impact of dairy consumption on salivary inoculum.

    abstract::Quantitative levels of harmful oral microbes present following complex surgical excisions of head and neck cancer are important since wounds are often contaminated through direct connection to the oral cavity and its flora. This possibility is especially important in irradiated patients who have decreased protective s...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9508-3

    authors: Schutt CA,Neubauer P,Paskhover B,Fang-Yong L,Sasaki CT

    更新日期:2014-04-01 00:00:00

  • A retrospective analysis of the pharyngeal swallow in patients with a clinical diagnosis of GERD compared with normal controls: a pilot study.

    abstract::In gastroesophageal reflux disease (GERD), there is a reverse flow of gastric contents up through the esophagus and potentially into the pharynx. Some patients who have GERD have reported difficulty in oropharyngeal swallowing. This study was designed to determine whether differences in the pharyngeal swallow exist in...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0056-5

    authors: Mendell DA,Logemann JA

    更新日期:2002-07-01 00:00:00

  • Patient Adherence to Dysphagia Recommendations: A Systematic Review.

    abstract::Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requir...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9852-9

    authors: Krekeler BN,Broadfoot CK,Johnson S,Connor NP,Rogus-Pulia N

    更新日期:2018-04-01 00:00:00

  • Silent aspiration: what do we know?

    abstract::Although clinically evident aspiration is common in subjects with dysphagia, a significant proportion may aspirate silently, i.e., without any outward signs of swallowing difficulty. This article reviews the literature on the prevalence, etiology, and prognostic significance of silent aspiration. An electronic databas...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-005-0018-9

    authors: Ramsey D,Smithard D,Kalra L

    更新日期:2005-07-01 00:00:00

  • Consistently inconsistent: commercially available starch-based dysphagia products.

    abstract::Individuals with dysphagia may be prescribed thickened fluids to promote a safer and more successful swallow. Starch-based thickening agents are often employed; however, these exhibit great variation in consistency. The aim of this study was to compare viscosity and the rheological profile parameters complex (G*), vis...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9263-7

    authors: Payne C,Methven L,Fairfield C,Bell A

    更新日期:2011-03-01 00:00:00

  • Radiation Safety in Videofluoroscopic Swallowing Study: Systematic Review.

    abstract::Videofluoroscopic swallowing study (VFSS) is generally used to diagnose dysphagia and oropharyngeal aspiration during swallowing movement. Patients and bolus-feeding operators (such as occupational therapist and speech language pathologist) may undergo multiple VFSS procedure, placing them at risk for more radiation e...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10112-3

    authors: Hong JY,Hwang NK,Lee G,Park JS,Jung YJ

    更新日期:2021-02-01 00:00:00

  • Multiple swallows and piecemeal deglutition; observations from normal adults and patients with head and neck cancer.

    abstract::The incidence of multiple swallows for liquid and paste, and the time delay between multiple swallows, was determined from videofluoroscopic records of modified barium swallow tests. In a comparison of liquid and paste, the overall incidence of multiple swallows did not differ, for either patients with head and neck c...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493415

    authors: Dziadziola J,Hamlet S,Michou G,Jones L

    更新日期:1992-01-01 00:00:00

  • The Feasibility and Outcome of Oro-esophageal Tube Feeding in Patients with Various Etiologies.

    abstract::The oro-esophageal tube (OE tube) is widely used in dysphagia patients although its success rate for transition to oral feeding is reported only in stroke patients. The aim of this study was to evaluate the feasibility and outcome of OE tube feeding for patients with dysphagia resulting from various etiologies. The au...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-015-9644-z

    authors: Kim J,Seo HG,Lee GJ,Han TR,Oh BM

    更新日期:2015-12-01 00:00:00

  • Bolus location at the initiation of the pharyngeal stage of swallowing in healthy older adults.

    abstract::This study characterized the vertical position of the bolus head at the onset of the pharyngeal swallow in healthy older adults. Lateral-view videofluoroscopic (VF) images were obtained from ten healthy volunteers (age-71.6 +/- 7.5 years, mean+/- SD) as they swallowed 5-cc thin liquid barium aliquots. For each swallow...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-005-0023-z

    authors: Stephen JR,Taves DH,Smith RC,Martin RE

    更新日期:2005-10-01 00:00:00

  • Effect of aging on the deglutitive oral, pharyngeal, and esophageal motor function.

    abstract::Aging affects some members of the swallowing orchestra and spares the others. It seems that changes in the pharynx of the elderly are more of a positive nature than a negative one and reflect an adaptation to age-induced structural changes of the upper esophageal sphincter. In the esophagus, the positive change in deg...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF00301914

    authors: Shaker R,Lang IM

    更新日期:1994-10-01 00:00:00

  • Correlates of Early Pharyngeal High-Resolution Manometry Adoption in Expert Speech-Language Pathologists.

    abstract::Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypot...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9941-4

    authors: Jones CA,Forgues AL,Rogus-Pulia NM,Orne J,Macdonald CL,Connor NP,McCulloch TM

    更新日期:2019-06-01 00:00:00

  • Manofluorography in the evaluation of oropharyngeal dysphagia.

    abstract::Manofluorography, that is, the concurrent use of manometry and videofluorography for the evaluation of pharyngeal dysphagia, has not been widely used clinically, partially because of various limitations of conventional manometry. Technological advancements in recent years have led to substantial improvements in manome...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-012-9405-1

    authors: Nativ-Zeltzer N,Kahrilas PJ,Logemann JA

    更新日期:2012-06-01 00:00:00

  • Predictors of aspiration pneumonia: how important is dysphagia?

    abstract::Aspiration pneumonia is a major cause of morbidity and mortality among the elderly who are hospitalized or in nursing homes. Multiple risk factors for pneumonia have been identified, but no study has effectively compared the relative risk of factors in several different categories, including dysphagia. In this prospec...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009559

    authors: Langmore SE,Terpenning MS,Schork A,Chen Y,Murray JT,Lopatin D,Loesche WJ

    更新日期:1998-04-01 00:00:00

  • Impaired food transportation in Parkinson's disease related to lingual bradykinesia.

    abstract::This study aimed to analyze quantitatively videofluoroscopic (VF) images of patients with Parkinson's disease (PD), to evaluate if the predicted factors of the oral phase of swallowing deteriorated with PD progression, and to demonstrate a relationship between the abnormal movements of the tongue and food transportati...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-010-9296-y

    authors: Umemoto G,Tsuboi Y,Kitashima A,Furuya H,Kikuta T

    更新日期:2011-09-01 00:00:00

  • Predictors of Patient-Reported Dysphagia Following IMRT Plus Chemotherapy in Oropharyngeal Cancer.

    abstract::The aim of this cross-sectional study is to evaluate the factors associated with patient-reported dysphagia in patients affected by locally advanced oropharyngeal cancer (OPC) treated with definitive intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy (CHT), with or without induction CHT. We evalu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9913-8

    authors: Orlandi E,Miceli R,Infante G,Mirabile A,Alterio D,Cossu Rocca M,Denaro N,Vigna-Taglianti R,Merlotti A,Schindler A,Pizzorni N,Fallai C,Licitra L,Bossi P

    更新日期:2019-02-01 00:00:00

  • Clinical and radiologic evaluation reveals high prevalence of abnormalities in young adults with dysphagia.

    abstract::The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and out...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009572

    authors: Lundquist A,Olsson R,Ekberg O

    更新日期:1998-10-01 00:00:00

  • A Meta-Analysis of the Incidence of Patient-Reported Dysphagia After Anterior Cervical Decompression and Fusion with the Zero-Profile Implant System.

    abstract::Dysphagia is a well-known complication following anterior cervical surgery. It has been reported that the Zero-profile Implant System can decrease the incidence of dysphagia following surgery, however, dysphagia after anterior cervical decompression and fusion (ACDF) with the Zero-profile Implant System remains contro...

    journal_title:Dysphagia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00455-015-9681-7

    authors: Yang Y,Ma L,Liu H,Xu M

    更新日期:2016-04-01 00:00:00